Please fill in this form personally and attach copies of any references, qualifications or other achievements which support your application.
IMPORTANT- PRIVACY STATEMENT
Information requested within this application is required for the purpose of considering your suitability for the position for which you are applying. Should your application be successful this information will be kept on your personal file and an electronic database available only to yourself, your Manager(s) and Human Resource Personnel. An exception will be made only where an emergency exists and contact details are required.
POSITION
What position are you applying for?
How did you learn of this vacancy?
PERSONAL INFORMATION
Title
Mr
Mrs
Ms
Miss
Surname
First Name
Preferred Name
Address
Suburb
State
Postcode
Phone - Home
Phone - Work
Phone - Mobile
Email
CURRENT EMPLOYMENT
Are you currently employed?
Yes
No
Employer
Position
Dates Employed
From:
To:
Duties
PREVIOUS EMPLOYMENT
If relevant, list in date order your three most recent positions, other than your present employment.
Employer
#1
Position
Dates Employed
From:
To:
Duties
Reason for Leaving
Employer
#2
Position
Dates Employed
From:
To:
Duties
Reason for Leaving
Employer
#3
Position
Dates Employed
From:
To:
Duties
Reason for Leaving
REFEREES
Please list at least one person you have worked for that we can contact. You can also include one non-work referee if you wish.
Referree
#1
Position
Company
Phone
Referree
#2
Position
Company
Phone
Referree
#3
Position
Company
Phone
I consent to Lucas Earthmovers seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released, by those contacted, to Lucas Earthmovers for the purposes of ascertaining my suitability for the position I am applying for.
ELIGIBILITY TO WORK IN AUSTRALIA
Are you an Australian Resident?
Yes
No
If not, do you hold a current work permit?
Yes
No
Expiry Date:
DRIVER'S LICENCE
Do you hold a current Australian driver's licence?
Yes
No
If yes, in what categories?
Licence number
CIVIL QUALIFICATIONS
CITB No
Green Card
Yes
No
Expiry Date:
Work-zone Traffic Management
Yes
No
Expiry Date:
First Aid Certificate
Yes
No
Expiry Date:
Plant Operator Tickets
WHAT EDUCATION HAVE YOU RECEIVED?
Last School/College Attended
Highest Year/Form
Highest Qualification Gained
Subjects
OTHER QUALIFICATIONS
Please list any qualifications, certificates or courses attended and the year completed
CURRENT TRAINING
Are you currently learning any new skills through correspondence courses, night classes or any other training programs?
OTHER SKLLS
What other skills do you have which could be useful in this position?
HOBBIES/INTERESTS/SPORTS INVOLVEMENT
What do you do in your spare time that may be relevant to this position?
OTHER INFORMATION
Have you ever worked for Lucas Earthmovers or an associated company before? If so, where and when?
When could you commence employment?
TELL US ABOUT YOURSELF
Please write a brief passage describing why you would like to work for Lucas Earthmovers and why you think you will be successful in the position you have applied for.
HEALTH
Do you have any medical history or physical condition which may affect your performance of the inherent requirements of this position?
Yes
No
If yes please give details.
Have you previously made a Workers Compensation Claim?
Yes
No
If Yes, what was the nature of the injury?
Have you been cleared for normal duties?
Yes
No
Have you ever been immunised for
Tetanus?
Yes
No
Date:
Hepatitis B?Yes
No
Date:
We require all applicants to have a health assessment, which includes testing for illicit drugs, prior to employment being confirmed.
Applicants are advised that Lucas Earthmovers has a Smoke Free Policy. Smoking in Company offices and vehicles is prohibited.
RESUME UPLOAD
You can upload a resume document here if desired. Please make sure it is in Word or PDF format and is smaller than 3MB.
DECLARATION
I
declare that to the best of my knowledge the answers in this application are correct. I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted, or if I am employed, my employment will be terminated. I also understand that any offer of employment made is conditional on my obtaining a medical clearance through D G Lucas Earthmovers Pty Ltd pre-employment medical and I consent and authorise the Company’s doctor to conduct an appropriate medical assessment (which may include testing for illicit drugs) and for the doctor to forward this information to the Company.
